Everyone knows that during pregnancy, taking any medication is not advisable. But very often there are situations when drugs can not be dispensed with. Therefore, in the process of bearing a child, physicians often prescribe certain medications to support a woman's body. So, eutiroks at pregnancy is shown at insufficient development or manufacture of hormones a thyroid gland. Such a pathology is called hypothyroidism and is very dangerous not only for the health of a woman, but also can lead to the wrong development of the fetus. This is due to the fact that the hormones produced by the thyroid gland affect the metabolism and oxidative processes, they affect the growth of bones, the development of the heart muscle, the ability to renew skin and hair, nutrition of the cells of the nervous system and the brain.
Hazard of insufficient hormone production
Hypothyroidism is a very serious disease characterized by inadequate thyroid hormone production by the thyroid gland. The cause of this is a variety of pathological changes in the organ. Hypothyroidism during pregnancy can develop spontaneously, but the following factors can precede pathology:
- , hereditary autoimmune abnormalities,
- enlarged thyroid,
- previously diagnosed infertility,
- miscarriage or premature birth.
Hormones produced by the thyroid gland affect the metabolism. Therefore, insufficient number of them significantly worsens the condition of the future mother. In addition, the fetus's own thyroid gland begins to develop only at the end of the first month of its development, and fully functioning - by the end of the fourth month. Therefore, the formation of all important organs in a future child occurs under the influence of hormones produced by the body of a woman.
Danger of hypothyroidism for a pregnant woman
If thyroid hormone production is insufficient, the metabolism in the human body is disturbed. And because the body of a woman who is carrying a child is working with increased stress, then there is a sharp deterioration in well-being. Pregnant women complain of weakness, pain and muscle cramps. Because of the lack of necessary hormones, the body runs out of energy, and women feel constant fatigue and drowsiness. In addition, the work of the gastrointestinal tract is disrupted, which can provoke nausea, stool and swelling.
If you do not provide timely treatment in the form of hormone replacement therapy, which is, in particular, in the administration of eustiroc, then in time other symptoms of hypothyroidism become apparent: hair loss and deterioration of the skin. As for the pregnancy, the untreated hypothyroidism, the following complications:
- persistent increase in blood pressure,
- premature detachment and separation of the placenta,
- bleeding and spontaneous abortion,
- premature labor and the need for cesarean section.
If hypothyroidism is diagnosed during pregnancy planning, the chances of getting pregnant with a woman go down many times. And, if the pathology is in a neglected stage, and its treatment has not been carried out for a long time, infertility may develop.
Pathologies of fetal development with hypothyroidism
In hypothyroidism, pregnant women always have a delay in developing the fetus due to insufficient amount of thyroxine. But even if it is possible to endure a child, it is always born weakened and with low weight. In this case, there is a very high probability of its death or the presence of congenital anomalies of development.
The greatest danger for hypothyroidism is for the central nervous system of the unborn child. A newborn baby may develop various psychoneurological disorders and delay intellectual development. In addition, the child often has congenital anomalies after birth:
- of the thyroid gland,
- of the digestive system,
- of the cardiovascular system.
Characteristics of eutirox
Thyroid dysfunction associated with inadequate hormone production is a very common pathology. In order to normalize the body's work, hormone replacement therapy is always performed. Most often eutirox is used for this, which is produced in tablets with different contents of the active substance.
The main active substance in eutirox tablets is levothyroxine sodium. It is a synthetic hormone, which is an analogue of the natural hormone of thyroxin. This substance takes part in metabolic processes and acts directly on the process of cellular respiration. Eutirox is an effective drug that is prescribed to compensate for insufficient thyroxine thyroid production after diagnosis of the following pathologies:
- hypothyroidism,
- goiter and its recurrence,
- autoimmune thyroiditis,
- benign thyroid disease,
- Graves disease.
This preparation is also mandatory for use after thyroid surgery and when it is removed. To some extent, the purpose of this drug is similar to that of insulin in diabetes mellitus. The approach is similar, if in the human body is produced insufficient quantity of a certain hormone and this threatens the state of health, then it must be placed from the outside.
Small doses of eutirox have an effect on lipid and protein metabolism. Also, this drug, when used in medium doses, gives a positive impetus to improving overall health. This is due to its ability to enrich tissues with oxygen and improve the performance of the nervous and cardiovascular system.
Levothyroxine when absorbed internally is absorbed in the upper part of the small intestine in a volume of up to 80% of the dose taken. Activate this drug begins after the body has accumulated a certain dose. As a rule, the first effect becomes noticeable after ten days of taking the tablets. Similarly, the effect of the drug ends after it is completely removed from the body.
Contraindications of the drug
The main contraindication to taking the drug is an individual intolerance of the active substance - levothyroxine. High sensitivity to the hormone can trigger allergic reactions, which are expressed by a rash on the skin, the appearance of skin irritations in the form of severe itching.
Other contraindications for the drug:
- untreated thyrotoxicosis,
- acute myocarditis,
- acute pancarditis,
- acute myocardial infarction,
- diabetes mellitus.
For atherosclerosis, angina pectoris and hypertension, the drug should be administered with great caution. In the instructions for this medicine there are special instructions. They contain recommendations that when prescribing treatment for hypothyroidism due to pituitary lesion, it is necessary to find out whether there is concurrent adrenocortical insufficiency or impaired liver function at the same time.
Interaction of the drug with other drugs
Eutirox is not compatible with certain drugs and this fact must be taken into account when prescribing the drug. Hormone replacement therapy, together with the use of antidepressants and anticoagulants of indirect action, greatly enhances their effect. In addition, eutirox enhances the human body's need for insulin and other oral diabetic medications.
In addition, the instructions for the use of the drug indicate the following interaction with other drugs:
- The effectiveness of the use of cardiac glycosides decreases.
- Anabolic hormones, as well as preparations containing female sex hormones, greatly reduce the effectiveness of the action of levothyroxine directly.
- An increase in the dose of levothyroxine may be necessary when taking estrogen-containing drugs.
- Drugs containing soy are reduced by absorption of levothyroxine.
The correct use of the drug during pregnancy
Very often, hypothyroidism is found when taking tests during pregnancy. But if it so happened that before the woman was pregnant, she had to take the drug, then it should continue to be used. But at the same time the doctor can revise the dosage in the direction of increase. Eutirox during pregnancy allows you to competently conduct hormone replacement therapy and provides an opportunity for a woman to bear fruit. The child is born healthy and has no deviations in the level of its development.
Earlier, when hypothyroidism was detected in women bearing a child, they were offered to make a medical abortion. Modern pharmaceutics absolutely excludes it. Using eutiroks during pregnancy, you can restore the necessary amount of hormones in the shortest time and give birth to a child without any deviations. During pregnancy, this hormonal drug is administered with extreme caution, because the correct development of the unborn child can be affected not only by the deficiency of an important hormone, but also by its excessive quantity.
The endocrinologist always prescribes to drink eutirox during pregnancy in individual doses in each case. The basis for the appointment is the results of hormonal analysis. In addition to the study of blood on hormones for the purpose of establishing an accurate diagnosis is necessarily conducted:
- ultrasound of the thyroid gland.
- Scanning of thyroid gland in case of suspicion of presence of nodes.
- An electrocardiogram that, when hypothyroid, shows a decreased voltage of the teeth.
Eutierox dosage correction during pregnancy can be done once every two months. The entire daily dose prescribed by the doctor is taken at one time and washed down with a small amount of water. It is recommended to do this in the morning half an hour before meals. Such recommendations are due to the following:
- The maximum concentration of the active substance in the blood is reached approximately 8 hours after its administration.
- Food slows down the absorption of the drug.
Categorically prohibits taking eutirox with other thyrostatic agents. If a woman took euthyrox during the entire period of gestation, then after the birth, in most cases, it is recommended to continue to use it in connection with the body's adaptation to the hormone. Otherwise, deterioration may occur. The drug can be drunk with breastfeeding, since it does not affect the baby.
Side effects of
Eutirox is well tolerated by pregnant women according to numerous reviews. If the dosage of the drug was chosen correctly, then no side effects are observed and the drug can be drunk without any fear, to harm the future child. But if a pregnant woman takes a large amount of hormones, then she may have signs of thyrotoxicosis:
- cardiac rhythm disorder,
- heart palpitations,
- heart pain,
- tremor,
- causeless fear feeling bordering on panic,
- nervousness and irritability,
- diarrhea and vomiting,
- increased sweating,
- insomnia,
- decreased appetite.
In case of signs of thyrotoxicosis, a pregnant woman should urgently contact an endocrinologist in order to adjust the dosage. In some cases, you may need to take a break in taking the drug for several days. After that eutiroks will be appointed again, in smaller doses and pregnancy will proceed normally.
If the dose is not calculated correctly and it is not enough to compensate for the deficiency of hormones produced by the thyroid gland, the signs of hyperthyroidism remain, but become less pronounced. First of all, the pregnant woman is still harassed by headaches, and fatigue is observed.
It is very important that this drug has no side effects that could become contraindications to driving vehicles. According to numerous reviews, eutirox and pregnancy are quite compatible. It is a reliable and time-tested remedy that helps to safely endure and give birth to a healthy child. Therefore, if the doctor decides on his appointment based on the analysis received, then it is fully justified.
In addition to taking eutirox to compensate for the hormone deficiency, a pregnant woman needs to maintain proper nutrition and lead a healthy lifestyle in order to safely endure a child. The diet should be enriched with vitamins and minerals. It is necessary to provide for walks in the open air and moderate physical activity.
Euthyrox in pregnancy is a very effective remedy that is prescribed for hypothyroidism and allows you to endure and give birth to a healthy child. This drug is very effective and at the correct dose allows you to quickly make up for the deficiency of hormones, which in insufficient quantity produces the thyroid gland.
